<body>
<div class="header" style="height:76px;"><a href="index.?action=home"></a></div>
<div class="title">
</div>
<h3 class="text">Register</h3>
<table>
<form action="registerchecker.php" method="post">
<tr>

<tr>
<td>Username: <br /> <input type="text" name="username"></td>
</tr>
<tr>
<td>Password: <br /> <input type="password" name="password" ></td>
</tr>
<td>First Name: <br /> <input type="text" name="firstname" ></td>
</tr>
<tr>
<td>Last Name: <br /> <input type="text" name="lastname" ></td>
</tr>
<tr>
<td><input type="submit" value="Register" name="btnRegister"></td>
</tr>

</form>
</table>

